1. Please use the sample slide format to disclose COI status.
Use Form 2-A when there are no conflicts of interest to disclose.
※ Oral presentation : COI status should be placed after the title slide
Poster presentation : COI status should be at the end of the poster
【Form 2-A】
The 22nd Annual Scientific Meeting of the Japanese Heart Failure Society COI Disclosure Name of First Author :
　The authors have no financial conflicts of interest to disclose concerning the presentation.

2. The 22nd Annual Scientific Meeting of the
Please use the sample slide format to disclose COI status.
Use Form 2-B when there are conflicts of interest to disclose.
※ Oral presentation : COI status should be placed after the title slide
Poster presentation : COI status should be at the end of the poster
【Form 2-B】
The 22nd Annual Scientific Meeting of the
Japanese Heart Failure Society COI Disclosure Name of First Author :
　Give the name of commercial entity involved.
　 ①Consultation fees:　　　　　　　none　　　　　
　　②stock ownership/profit:　　none
　　③patent fees:　　　　　　　　none
　　④remuneration for lecture:　　　　　　　　　none
　　⑤manuscript fees:　　　○○pharmaceutical company
　　⑥trust research/joint research funds:　　　○○pharmaceutical company
　　⑦scholarship fund:　○○pharmaceutical company
　　⑧Affiliation with Endowed Department:　　yes（○○pharmaceuticals）
　　⑨Other remuneration such as gifts:　　none
If “yes”, give the name of company/organization. There is no need to disclose the amount.